Directions:
Please make and save an electronic copy of this application for your records.
A. PERSONAL INFORMATION
DATE:
NAME:
Ball StateStudent ID Number:
SCHOOL ADDRESS
Street: City: State: Zip:
County:
PERMANENT ADDRESS (if different)
Street: City: State: Zip:
County:
CURRENT DAY TIME PHONE with area code:
CURRENT EVENING PHONE: with area code:
EMAIL ADDRESS (es):
EMERGENCY CONTACT PERSON:
Name:
Phone Number:
Have you registered with the Office of Career Services?
______ Yes ______ No
If no, how do you plan to find employment as a BSW graduate?
Have you ever been convicted of any felony charges? (Circle) Yes / No
Have you ever been convicted of any misdemeanor charges? (Circle) Yes / No
Are there any current pending felony or misdemeanor charges that have been filed against you? (Circle) Yes / No
Are there any current pending misdemeanor charges that have been filed against you? (Circle) Yes / No
If you answered yes to any of the above questions, list all criminal convictions you have received, as well as any current pending criminal charges that have been filed against you:
Directions:
On a separate piece of paper please address the following under B, C, & D. Please prepare your application materials carefully. Your written responses on the application materials are viewed as an example of your writing skills. Since as a professional you will be judged in part on the quality of your written work, you are expected to be writing at a college level and able to produce written work free of spelling and grammar errors. Please make and save an electronic copy for your records. This will be useful for your practicum application.
B. ACADEMIC RECORD
- Identify names (s) of high school, and higher education institutions attended including location and grade/degree completed.
- List scholastic or related honors (awards, prizes, scholarships, membership in academic societies, etc.) and indicate dates received.
- Other specialized training (institutes, vocational training, military, etc.)
- current G.P.A. in social work
- Number of completed academic hours that count toward graduation at BSU
- Other information you consider relevant to application to the social work major (e.g. certifications)
C. FAMILY – EMPLOYMENT – VOLUNTEER – PERSONAL INFLUENCES
- Indicate membership in campus, social, professional or other organizations and describe significant participation, leadership responsibilities and offices held if any.
- Please describe in detail leadership and volunteer activities that you have completed that have influenced your decision to pursue a social work education.
- Describe other factors which have influenced your interest in the social work major (e.g., family, friends, clergy, social workers, teacher, volunteer/work experiences, academic experiences, personal life experience). Be certain to explain why the social work profession is your career choice as compared to other helping professions such as psychology, nursing, education, etc.
D. PROFESSIONAL SOCIAL WORK INTEREST REPORT
- Explore a web site related to each of the two areas below:
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- Write 3 or 4 paragraphs which describe something new that you learned from each of the two sites that you reviewed. You do not need to submit a copy of the site content, but please indicate the name of the web site and the address (URL).
DIRECTIONS FOR SELF ASSESSMENT
Professional Self Evaluation Form
DO NOT SUBMIT THIS SECTION OR THE NEXT WITH YOUR APPLICATION
Standards for Essential Abilities and
Attributes for Admission and Continuance in the Social Work Major
In addition to academic standards (e.g., minimum grade point averages), there are also essential Abilities and Attributes for admission to and continuance in the social work major. These abilities and attributes include cognitive, character, emotional and physical requirements needed to complete the course of study for successful entry into the practice of social work.
Students in the Department of Social Work at Ball State University are expected to have achieved the academic level required for the BSW degree (see pg. 375-378 of the 2004-2006 or pg. 385-388 of the 2006-2008 Undergraduate Catalog), and possess the Abilities and Attributes listed below at a level appropriate to their year in the program. Social work students are expected to meet these academic and professional standards in the classroom, in their field experiences (volunteer and practica), and their overall performance as social work majors. Attention to these standards will be part of assessments made by faculty responsible for evaluating applications for admission, as well as by faculty responsible for evaluating students' classroom and practicum performance.
Directions for Completing this Professional Self-Evaluation Form:
Complete a self-evaluation of your current level of competence for each of the fifteen (15) areas identified on the Abilities and Attributes form. Do not place your responses on this form. Word process your responses on a separate sheet and list each Ability/Attribute, along with your self-evaluation and your comments about each area. Please see the examples below.
The following examples are intended to provide guidelines on how you might respond to each Ability/Attribute. However, you should write your own personal/professional assessment and should not repeat the description provided with each ability/attribute as provided in the examples.
Because formal admission to the social work major occurs near the beginning or midway in the program of study, it is expected that students will not have yet achieved full mastery in the majority of the Abilities/Attributes and that further professional and academic development will occur following formal admission.
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(EXAMPLE 1) |
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Needs |
Satisfactory |
Communication Skills |
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Improvement |
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_____ |
__X__ |
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(Example 1 Comments) My communication skills are very good. I communicate well with my peers, co-workers, and the children with whom I have worked. I am comfortable expressing my own emotions and respond well to others who are communicating intense feelings as well. I express myself well in front of groups especially if I have had an opportunity to prepare a presentation. My listening skills are one of my strengths, and I can be assertive in a respectful manner when the situation calls for such. Both my verbal and written communication skills are solid and have contributed to my performing well academically. |
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(EXAMPLE 2) |
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Needs |
Satisfactory |
Knowledge Base |
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Improvement |
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__X__ |
_____ |
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(Example 2 Comments) I have done pretty well with course concepts and outcomes so far. However, my understanding of social work practice is limited; I do not know enough about how to complete behavioral assessments nor understand enough about the causes of social problems and resources available to people. I lack a familiarity with the range of practiceapproaches currently being used by social workers. |
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(EXAMPLE 3) |
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Needs |
Satisfactory |
Professional Behavior |
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Improvement |
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__X__ |
_____ |
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(Example 3 Comments) I have difficulty being punctual. I feel I need to improve by being in class on time, and completing assignments on time (I often miss deadlines due to poor planning and not being very organized). |
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(EXAMPLE 4) |
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Needs |
Satisfactory |
Emotions |
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Improvement |
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_____ |
__X__ |
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(Example 4 Comments) Although I'm sure I can learn how to better monitor my emotional responses to clients in hands on stressful situations, I feel pretty confident in this area. My community volunteering has included doing emergency intakes in winter months with families. I am able to listen well and express empathy, but not become overly emotionally attached. |
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SELF ASSESSMENT
Name: Student ID Number:
Directions:
Include your completed self-evaluation of Abilities/Attributes with your other admission-to-the-major materials and submit all required application materials to the Department. Please do not use "fancy covers" or page protectors or tabbed sections; the Department will supply a folder for your submitted materials.
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Evaluation Scale |
1. Abilities and Attributes |
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(Place an X to report your evaluation) |
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a. Academic Performance: The social work student must:
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b. Knowledge Base for Social Work Practice: The professional activities of social work students must:
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c. Critical Thinking Abilities: The social work student must be able to formulate, analyze, and evaluate to:
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d. Communication Skills: The social work student must communicate effectively and sensitively with other students, faculty, staff, clients and professionals, which includes the abilities to:
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e. Interpersonal Skills: The social work student must:
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f. Empathy: The social work student must:
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g. Acceptance of Diversity: The social work student must:
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h. Emotions – Feelings The social work student must be aware of and able to:
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i. Self-Care: The social work student must:
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j. Professional Behavior: The social work student must:
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k. Professional Commitment: The social work student must have a strong commitment to:
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l. Objectivity: The social work student must:
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m. Self-Awareness: The social work student must be:
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n. Writing Ability: The social work student must write in a consistent manner, making use of:
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o. Computer Competency: The social work student must have a basic understanding of how to:
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2. Professional Development Plans
Directions: Based on the self-evaluation that you have completed, use the following outline to identify three areas for professional development and a plan to address each area.
Example
Priority One Developmental Need: Critical Thinking
a) Description:
In order to be a competent social worker I need to sharpen my critical thinking skills. I need to think more critically about information and to evaluate more what I am told by others and what I read. I tend to accept without question information especially if the source of this information is someone in authority or someone I like. I need to practice evaluating information and seek additional collaborating facts and not blindly accept information. I need to investigate research on social work theories so I can better evaluate my assessment and intervention skills.
b) Concrete / Specific Goal
Ask more questions about what others tell me and about what I read.
c) Steps and Resources
In my classes, I will raise more questions about what is being taught, what my peers are saying, and what the assigned authors are suggesting. I will need my instructors and classmates to support my questioning by being willing to listen to me.
I will seek out research-based literature when preparing social work assignments, and ask for help from faculty in doing so. I will need the library and electronic databases to help me seek out relevant research studies. I will also need to take the social work research classes to give me the skills I need to evaluate research.
I will ask social work faculty and my classmates to give me feedback on assumptions they are aware I am making. I will need my peers and faculty to provide me with feedback.
Professional Development Plans
1. Priority One Developmental Need:
a. Please identify and describe:
b. Concrete/specific goals for change: (describe)
c. Specific steps you will take to accomplish goals, and the resources you will need:
2. Priority Two Developmental Need:
a. Please identify and describe:
b. Behaviorally-specific goals for change: (describe)
c. Specific steps you will take to accomplish goals, and the resources you will need:
3. Priority Three Developmental Need:
a. Please identify and describe:
b. Behaviorally-specific goals for change: (describe)
c. Specific steps you will take to accomplish goals, and the resources you will need:
Thank you for completing this form.






